Doctor insights on:
Sciatic Nerve Testicle Pain

1

Heel pain:
More likely cause is heel spur where achilles tendon attaches to calcaneus (heelbone), especially in women who wear high heels often. But sciatica is also possibility in one who has degeneration in spine. Heel spurs respond to gradual stretching of achilles tendon (i.e. Lower heels on shoes). See neurologist to determine which source is cause of your pain.
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There are many reasons for testicular pain. Bottom line, if you have testicular pain...Pain in the testicle...You should go to the nearest er immediately to have special imaging to rule out a torsion. Testicular torsion is when the vessels to the testicle twist and the blood supply is lost. If not corrected immediately you could lose the testicle. You may experience belly pain, especially in kids.
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3

No, but...:
Theoretically, it's unlikely to induce pain on the other side, but similar process for neuralgia possibly occurs on the opposite side of same level of spinal nerves. Yet, before concluding Dx, such pain should be evaluated so to deduce if the contralateral pain is new and unrelated. How to get things done correctly? Follow instructions described in http://www.formefirst.com/eNewsletter06.html.
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7

Unlikely:
Leg nerve pain can come from a peripheral nerve issue or a central nerve issue such as a pinched nerve or sciatica. Pelvic issues would not be expected to cause any symptoms in your legs. I would recommend being evaluated.
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8

Symptom Vs Cause:
Sciatica is the symptom of leg pain caused by a disc herniation or narrowing where the nerve exits the spine. A disc herniation is a outpouching of the disc from its normal place into the spinal canal or on the nerve and can be a source of pain in the back or down the leg . The nerve then goes to the muscle which can then hurt, spasm or feel sore or irritated.
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9

See a Spine Surgeon:
If you have some cervical spine pathologies like herniated discs, bone spurs, it can be associated with occipital headaches, neck pain, and pain down your arm. Your spine surgeon will guide you through appropriate treatment of these.
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10

No:
Typically the nerves to the testicle /groin can come from one from lumbar and sacral nerve roots. Compression of these nerves roots in the spinal canal can cause irritation that can be felt in the groin. This is not a typical sciatic nerve root pattern since these leave the spinal canal before integrating into the typical sciatic nerve but you could also have sciatica as well.
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11

Annular tear:
Sometimes the herniated disk has annular tear that releases the spongier nucleus pulposus out that can cause a chemical neuritis on the nerves that is similar to sciatica. Also if the MRI reflects any listhesis (slipping of one bone on the other) there may be a compression on the nerves that will not be appreciated on the MRI because you are lying down and not allowing gravity/forces to move it.
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12

Yes:
Nervecompression is just one way sciatica can happen. Often when looking at MRI, doctors don't take into consideration that this is a still image and doesn't show what your spine will do when you move, bend over or even stand up. That is why you need to see a spine specialist that can discuss this with you and your options for treatment.
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13

Sacroiliitis:
Inflammation of the sacroiliac joint can mimic a ruptured disc in the back with radiating leg pain. By pushing over the dimple in the low right part of the back pain will be elicited (fortin test). See a chiropractor or neurosurgeon to obtain relief of the pain.
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17

Yes:
Nervecompression is just one way sciatica can happen. Often when looking at MRI, doctors don't take into consideration that this is a still image and doesn't show what your spine will do when you move, bend over or even stand up. That is why you need to see a spine specialist that can discuss this with you and your options for treatment.
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20

Seeing your PCP wou-:
Ld be advisable, as she/he starts the process of evaluation/investigations/treatments.
Pain meds + rest + heating pad would all help. The pinched nerve causing the sciatica by the disc will settle down and symptoms subside, or if not, then pt/exercises, steroid epidural shots might be helpful. If still not better, then a referral to a spinal surgeon might be necessary.
Good luck.
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The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and also commands for function.
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Testicular pain can be acute or chronic, and is perceived as pain emanating from the scrotum. Sudden, sharp pain is often referred to as an acute scrotum, and requires quick evaluation to rule out testicular torsion. Trauma and infections can present similarly. Chronic orchalgia is usually a dull ache, and is often difficult to diagnose and treat.
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